Oh, dealing with Parikartika, or anal fissures, is no joke, right? It seems like you’re really going through a lot. It’s good to know you’re exploring Ayurveda as a complement to what you’ve already tried. So here’s a bit of insight that might help you with this.
First off, Triphala and Jatyadi Taila are indeed staples in the Ayurvedic management of fissures. Triphala can be great for improving bowel regularity and reducing strain during bowel movements, thanks to its gentle laxative effect. Just mix a teaspoon with warm water at night. As for Jatyadi Taila, applying it topically can promote healing due to its soothing and wound-curative properties.
Now, when it comes to Ksharasutra, it’s a specialized treatment in Ayurveda generally used for hemorrhoids and fistulas, and is less common for simple fissures. It is effective but reserved for more complex or chronic issues. The process involves applying a medicated thread that gradually cuts through tissue, promoting healing, but it’s not usually painful—more like discomfort, really. It does require multiple sessions depending on the severity, unlike the one-time LIS surgery. If you’re considering this, consulting with a skilled Ayurvedic practitioner who can evaluate your specific case would be essential.
Dietary changes in Ayurveda are key! You’ve cut out spicy and fried foods, which is a good start. What’s missing might be including more pitta-pacifying foods—think cooling, soothing options like cucumber, zucchini, and coconut water. Warm ghee can be beneficial too, just a teaspoon in the morning might help lubricate the stools.
Fiber-rich foods are crucial but don’t forget hydration. Sometimes, simply drinking enough water can facilitate smoother bowel movements. And about exercise, gentle yoga poses can encourage circulation and prevent constipation.
In terms of lasting relief, Ayurveda aims to treat the root cause by balancing the doshas, so while not immediate, it’s generally effective long-term. Side effects with natural remedies are uncommon, but watch for allergies or sensitivities, especially if trying new herbs.
It’s all about balance and patience. Fissures can make anyone miserable, but with consistent care, there’s definitely light at the end of the tunnel. Keep at it, hopefully this helps you towards a more lasting relief.


